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What Doctor to Go to for Sclerotherapy?

I had an ultrasound and doplar study done that showed blockage in my greater saphenous vein from my groin to mid-calf. An interventional Radiologist will perform ELT on that leg.

I'd also like sclerotherapy on my other leg (and on the ELT leg after the healing is complete.) This will be performed by the same MD, the interventional radiologist, who works exclusively in the vein clinic.

Is this advisable or is it recommended that the sclerotherapy be done by a dermatologist or plastic surgeon? Which would mean going to a different clinic?

Doctor Answers 5

Choosing a Physician for Vein Treatment - American Board of Phlebology

This is an important question.  The field of vein treatment is a separate discipline, much like dermatology is different than gynecology.  The American Board of Phlebology and the American College of Phlebology both have physician locators for physicians who are diplomates of the American Board of Phlebology.  The board certifies experts who are proficient in comprehensive vein treatment and surgery.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 58 reviews

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How to choose a doctor for sclerotherapy - Buffalo Niagara, NY

It is important that you were evaluated for venous insufficiency and that the leaky vein will be treated using a laser (in your case). EVLT or endovenous laser therapy treats venous insufficiency by ablating (closing) a vein segment that is leaky or leaking backwards, supplying varicose veins, reticular veins and spider veins. 

The American Board of Venous and Lymphatic Medicine certifies physicians who have additional knowledge in the field of venous and lympphatic medicine. Those physicians are called Diplomates of the American Board of Venous and Lymphatic Medicine. 

Choose a physician who has obtained this certificate status from the ABVLM for the EVLT and sclerotherapy. 

See a vein specialist.

There are many physicians performing vein treatments across multiple speciality groups including vascular surgery, general surgery, plastic surgery and dermatology. There is now an American Board of Venous and Lymphatic Medicine which certifies physicians in vein care as Diplomates. It would be wise to go to a physician who is certified as a Diplomate of the American Board of Venous and Lymphatic Medicine to do your complete vein treatment.You can get a list of these physicians by going to the website for the American Board of Phlebology, American College of Phlebology or the American Board of Venous and Lymphatic Medicine.

John Landi, MD
Naples General Surgeon
5.0 out of 5 stars 4 reviews

Go to someone who understands venous disease

It sounds like you have significant venous disease. Not that it is dangerous, but it is more than a cosmetic issue. This requires the attention of a doctor who understands the pathophysiology of the venous system. That means either a phlebologist, vascular surgeon or a well versed interventional radiologist. It sounds like you have found a doctor that understands your problem. Stick with him/her.

Robert Swanson, MD - RETIRED
Bay Area General Surgeon

What doctor for sclerotherapy

If you have large, tortuous vessels in your other leg, it would be very beneficial to have a practitioner with the ability to perform ultrasound-guided sclerotherapy. I would stick with your interventional radiologist. While some dermatologists and plastic surgeons are very skilled at sclerotherapy, larger, symptomatic vessels of clinical significance are best treated by someone who can fully evaluate the vascular system of the legs/thighs such as an interventional radiologist or vascular specialist.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.